All fully insured commercial, self-insured commercial (ERISA included), Exchange, and FEHB Plans must comply with this regulation
Engage with your PBM vendor to ensure appropriate and timely data collection. If you had multiple PBM vendors, including a carveout PBM, for the applicable reference years, you will need to coordinate data collection efforts among all parties.
Optimatum is a vendor management firm that focuses exclusively on the HR supply chain with turnkey solutions that improve the financial, operating performance, transparency and accountability of HR Benefit programs while still maintaining existing vendor relationships.
Please contact us with any questions about this regulation, your PBM vendor, or any other HR related issues.
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